New Requirement for ASC X-ray

Once upon a time (in the 2008 OPPS/ASC final rule) several radiology codes were added to the list of payable ASC procedures effective Jan. 1, 2008; and now CMS is stressing compliance. Beginning Jan. 1, 2009, you must include the ordering/referring physician’s name and national provider identifier (NPI) for ASC claims with the TC modifier Technical component. For guidance, read Transmittal 1572 or MLN Matters article MM6129 on the CMS Web site.

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